NPI | 1417309139 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 9369619-3902) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: UT 9369619-3904) |
Enumeration Date | 2016-07-06 |
Last Update Date | 2024-08-23 |